HomeMy WebLinkAbout14 Payment Agreement FormMIA
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Garfield County
PAYMENT AGREEMEN• FORM
�ARFIELD COUNTV ("COUNTY") and property Owner ("APPLICANT")
agree as follaws:
1, Th. Applicant his submitted to the County an app�tn for the foii Pr�Jrct:
2. The AppIIcsnt undersnds and sgrees that G•aId County Resolution No. 2O1, as
amsnd•d, establishes a tee schedule for each type sIIatn•, and the guidelines for the
ad.mInlstratlon of the fey structure.
3, The Applicant and the County agr that because of the size, nature or scope of the
proposed project, It li not possible at this time to ascertain the full extent of the cants
Invoed In proc.ulng the spplloetlon. The AppIInt agrees to maks payment of the base
Pee, sst.abIIshsd for the Project, and to thereafter permit additional co billed to the
Applicent1 The Applicant agrees to make additional payments upon notification by the
County, when they are necessary, as costs are incurred.
4. The Base Rei shalt be In addltlon to and exclusive of any cast for publicatkm or cyst of
consulting service determined necessary by the Board of Cou for the
oensldsratl�n of mn appftcatlon or additional County staff time or expense not covered by
the Base Fes. If actual recorded costs exceed the InItIaI bast Fee, the Appika.nt shall pay
•ddltlonsl bIlIIngs to the County to reimburse the County for the processing of the Project.
That Applicant sck.nowledgss that all billing shall be paid prior to the final consideration by
the County of any Land Use Change or DMsIon of Land.
1 hiriby woo to pay SII inn r&atd to this app!Icstlon:
Boling Contact Person:
iillr►g Contact Addreu:
City:
Ill:Hng Contact Email:
Phone:
C-(4-00
Stan: igaZIp Code: �5 L �C► �-,�
'770
43�
printed Name of Peron Autborlz�d to SIgn:
(Sign/tun))
i
(Date)